EDI ANALYST

BC&L INCAustin, TX
3d$40,000 - $70,000Remote

About The Position

In this role, you will leverage your expertise in electronic data interchange (EDI) to ensure accurate, timely, and secure data exchanges between Soluta’s systems (including benefit administration platforms) and various insurance carriers. This is a remote position, and the EDI Analyst will play a critical part in implementing new EDI feeds, maintaining existing integrations, and troubleshooting issues in the group insurance space. The ideal candidate has a strong background in EDI configuration and mapping, excellent problem-solving abilities, and the communication skills to work effectively with both technical and business stakeholders.

Requirements

  • Bachelor’s degree in a related field or equivalent experience in a technical or analytical role.
  • 2–4 years of hands-on EDI experience with carrier integrations in the group insurance space.
  • Strong technical skills with data formats, integration tools, encryption, and validation.
  • Clear and professional communicator, able to explain technical concepts to non -technical audiences.
  • Proven problem-solver with experience in root cause analysis and implementing long-term fixes.
  • Proficient in Microsoft Office, especially Excel for data analysis and Word/Access for documentation and queries.
  • Skilled in configuring, testing, and troubleshooting FTP/SFTP connections and automated file transfers.
  • Understanding of HIPAA compliance and data security standards in EDI transmissions.

Nice To Haves

  • Experience building or managing EDI integrations using platforms like bswift, Employee Navigator, or Selerix.
  • Strong knowledge of HIPAA 834, LIMRA LDEx, and various custom flat-file formats for benefits enrollment.
  • Familiar with both single-tenant and multi-tenant EDI integration models and related best practices.
  • Working knowledge of SQL or scripting for data manipulation is a plus.

Responsibilities

  • Design, implement, and maintain EDI file integrations (e.g., ANSI X12 834) between Soluta’s platform and insurance carriers.
  • Gather and translate business and carrier requirements into detailed EDI mapping specifications.
  • Conduct end-to-end testing and coordinate test cycles to ensure accurate EDI transactions.
  • Monitor EDI transmissions and proactively troubleshoot errors or carrier rejections.
  • Act as liaison for carrier EDI teams and clients to resolve discrepancies and manage file updates.
  • Configure and manage secure FTP/SFTP connections for compliant data exchange.
  • Maintain thorough documentation and recommend improvements for EDI processes and tools.
  • Handle data segregation or consolidation for single-tenant and multi-tenant EDI file models.
  • Collaborate with internal teams to align EDI integrations with system architecture and client needs.
  • Performs other duties as assigned.
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